Prelacteal feeding and associated factors among newborns in rural Sidama, south Ethiopia: a community based cross-sectional survey
Prelacteal feeding and associated factors among newborns in rural Sidama, south Ethiopia: a community based cross-sectional survey
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DOI：
10.1186/s13006-018-0149-x
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发表时间：
2018-02-20
影响因子：
3.5
通讯作者：
Asefa, Anteneh
中科院分区：
文献类型：
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作者：
Chea, Nana;Asefa, Anteneh
背景：哺乳前喂养的做法剥夺了新生儿宝贵的营养，并使新生儿面临感染的风险。尽管哺乳期喂养对健康产生负面影响，但在埃塞俄比亚，哺乳期喂养仍然盛行。因此，本研究旨在评估埃塞俄比亚南部农村社区的哺乳前喂养方式及其相关因素的流行情况。方法：我们对 597 名 6 个月以下儿童的母亲进行了一项基于社区的横断面研究。母亲是通过多阶段整群抽样技术从哈瓦萨市政府辖下的农村集水区哈维拉图拉选出的。在开始母乳喂养之前或出生后的前三天接触过母乳以外的任何食物、物质或饮料的新生儿被视为接受哺乳前喂养。进行了描述性总结以呈现主要发现；采用双变量和多变量逻辑回归分析来确定与哺乳前喂养实践相关的变量。结果：在所有婴儿中，25.5%（95% 置信区间 [CI] 23.5%, 27.5%）被发现接触过哺乳前喂养。白开水（36.8%）和新鲜黄油（32.2%）是排名前两位的哺乳前食物。母亲为家庭主妇的婴儿以及母亲年龄在 21 至 34 岁之间所生的婴儿的哺乳前喂养率较高。近三分之二 (64.3%) 的新生儿接受哺乳前喂养的母亲是在父母的建议下这样做的。母乳喂养知识匮乏的母亲进行哺乳前喂养的可能性是母乳喂养知识丰富的母亲的九倍（调整后的比值比 [AOR] 8.9，95% CI 4.2，18. 7）。缺乏对哺乳前喂养相关风险的了解（AOR 6.8；95% CI 2.6，17.8）和对母乳喂养的误解（AOR 8.1；95% CI 3.9，16.6）与哺乳前喂养有关。然而，母亲的分娩地点和参加母乳喂养咨询课程的情况表明，与哺乳前喂养的做法没有关联。结论：在研究地区，哺乳前喂养很常见。有必要提高妇女对哺乳前喂养后果的认识。应强调让妇女父母参与促进最佳婴儿喂养方法。
Background: The practice of giving prelacteal feeds deprive a newborn of valuable nutrients and expose the newborn to risks of infection. Despite its negative health outcomes, prelacteal feeding prevails in Ethiopia. Therefore, the current study was undertaken to assess the prevalence of prelacteal feeding practices and its associated factors in a rural community in south Ethiopia.Methods: We conducted a community based cross-sectional study of 597 mothers of children aged less than six months. Mothers were selected using a multistage cluster sampling technique from Hawela Tula, a rural catchment under Hawassa City Administration. Newborns exposed to any foods, substances or drinks other than human milk before the initiation of breastfeeding or during the first three days of birth were regarded as receiving prelacteal feeds. Descriptive summaries were done to present the main findings; bivariate and multivariate logistic regression analyses were undertaken to identify variables associated with prelacteal feeding practices.Results: Among the total infants, 25.5% (95% confidence interval [CI] 23.5%, 27.5%) were found to be exposed to prelacteal feeds. Boiled water (36.8%) and fresh butter (32.2%) were the top two prelacteal foods. The prevalence of prelacteal feeding was higher among infants whose mothers are housewives, and among infants born to mothers aged between 21 and 34 years. Almost two-third (64.3%) of mothers who exposed their newborn to prelacteal feeds did so with advice from their parents. Mothers who had poor knowledge on breastfeeding were nine times more likely to practice prelacteal feeding compared to those with good knowledge (adjusted odds ratio [AOR] 8.9, 95% CI 4.2, 18. 7). Lack of knowledge on the risks associated with prelacteal feeding (AOR 6.8; 95% CI 2.6, 17.8) and misconceptions about breastfeeding (AOR 8.1; 95% CI 3.9, 16.6) were associated with prelacteal feeding. However, mothers' place of delivery and attendance at breastfeeding counseling sessions showed no association with the practice of prelacteal feeding.Conclusions: Prelacteal feeding is commonly practiced in the study area. Raising women's awareness on the consequences of prelacteal feeding is warranted. Involving parents of women when promoting optimal infant feeding practices should be emphasized.